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MAR-7-2005 08:35 FROM: T0:14252576857 P.1 <br /> t��. �I <br /> PERMIT APPLI�ATIOIV <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE�TT, WA 982C1 � 7,., 0� <br /> 425-257-8810— FAX 425-257-8857 T www.everetc,va.org �j <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DE IBR&CREDIT CARDS ARE NOT ACCEPTED <br /> SITEADDRESS PARCELTAX��I.D.# PERMITN_ � <br /> 30 1{. S� Go 3£3 `���BG�I� ��D� � `� = - e <br /> I.EGA LOiNO. BLOCK TRA�T I <br /> DESC. i <br /> OWNER AOURE55 GITY2IP PMONE <br /> �'�e-ncl�. ��y�J' l3oy /�--A�-P ,j'f I'� �t�sn��f f `{�-�2s-�y'�32. <br /> TENANT S� � I c�(�[ Tl'►C,(�i. Mir��T�YYLGzU[!t �25' 720 3�� <br /> �A�DRE55 (1_ I./cL _ C��P PHONE <br /> CONTRAC OR ��.�a{i-1�-� p <br /> C���N�# � �� Z��� �� �CQ 2-U Z� <br /> fF-f�C 4'7 (�v3 y 1�1'�� <br /> USE OF BUILDING HEAT SOURC6 CONTRACT PRICE OF WORK <br /> �� Electric x Gas � Other ��� � <br /> WORK OESCRIP710N <br /> ��' ���`�'' �"�'�. <br /> �r'�f-s tD G� I <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FUCTURE OR ITEM NO I�I T:'PE OF FIXTURE OR ITEM ' <br /> ' PJC-air handling units <br /> _ ToNat � Forced afr systems <br /> BathWh — <br /> _ Lavatory(wash basin) Gas piping <br /> Shower � V�ater heater <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Dlshwasher T Gas 2ngo <br /> Ciathes washer _ CloNes dryer <br /> Laundry t2y _ Range hcod <br /> Sinl:(service/barlmopletc.) _ Exhausl fan <br /> Backflow preventer _ Heat pump <br /> Urinal Unit healer <br /> Ddnking Fountain y Boiler <br /> Floor drain r� Ra(riBeration <br /> Grease trap � Woodstova <br /> Roof drains � Other <br /> Olher —� <br /> CITY OF EVERETT LOCAL SALES SAX CO�E IS 7105 <br /> I hereby ceritiy lhat I have read and ezamined Ihis apUlication and know the s�me to be true and correc:. All provisions ot laws and <br /> ordinaces governing this type of work will be compiied wilh whether specified herein or not.The g2nting ot a permll does nol presume <br /> to give authority to violale or cancel 1he provision of eny alher stale or local law rogulaling constr�cUon or lhe peAormante of <br /> conslruclion.That 1 am aulhorized by lhe owner of this property lo perform the work for which applicaUon is made and I comply wicn the <br /> Slate Co��tr crors Law . 7 RCW and 296200 WAC. �� � <br /> �s 7 0�ce <br /> Signat o nedContracrodAul o ed Agent i <br />